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胸腔灌洗对海水浸泡胸部开放伤高渗状态的疗效 被引量:4

The efficacy study of pleural lavage on seawater immersion following open chest wounds with the high osmotic pressure state
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摘要 目的研究胸腔灌洗对海水浸泡胸部开放伤高渗状态的疗效。方法实验组(胸腔灌洗组)和对照组(常规救治组)每组10只犬,制成海水浸泡胸部开放伤动物模型。对照组采用常规救治,实验组在常规救治的基础上给予胸腔灌洗。测定两组血清电解质及生化指标,计算血浆晶体渗透压。结果海水浸泡胸部开放伤后,两组血清钠及血浆渗透压明显升高,经过治疗血清钠及血浆渗透压均降低,其中胸腔灌洗组的改善更明显,结论胸腔灌洗是纠正海水浸泡胸部开放伤所致高渗状态的有效方法。 Objective To explore the curative effect of pleural lavage treating hypertonia on opening wound of chest caused by seawater soaking. Methods Ten dogs in experimental group and control group are made into animal models of open wound in chest by seawater soaking. Ordinary group arc treated with ordinary treatment while pleural lavage group are supplied pleural lavage on the basis of ordinary treatment. Pathological changes of internal environment in both groups were observed. Serum electrolytes and biochemical indicators were measured. Plasma crystal osmotic pressure were calculated. Results After suffering with chest open wound cause by seawater soaking, blood serum sodium and blood plasma osmotic pressure in both groups obviously in- creased. After the treatment, blood serum sodium and blood plasma osmotic pressure in both groups decreased. Pleural lavage has better improvement than ordinary treatment. Conclusion Pleural lavage is one effective method for treating chest open wound caused by seawater soaking.
机构地区 解放军
出处 《东南国防医药》 2012年第5期393-395,共3页 Military Medical Journal of Southeast China
基金 南京军区医学科技创新课题(08MB148)
关键词 胸部开放伤 海水浸泡伤 胸腔灌洗 血浆渗透压 open chest wound seawater immersion wound pleural lavage plasma osmotic pressure
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